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Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEowheck applicable boxes) <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> ®ENVIRONMENTAL IMPACT REPORT(EIR)SCH#2001052081 <br /> ®NEGATIVE DECLARATION(NDYMITIGATED NEGATIVE DECLARATION(MND) <br /> ®ADDENDUM TO(Identify environmental document): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> F-ICATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE If <br /> Part 6. LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> RFI/JTD Amendment No.1-July 2005 ®ENVIRONMENTALDOCUMENT(S): <br /> ®LOCAL USE/PLANNING PERMITS April 2003 D EIR SCH#2001052081 Dated December 2002 <br /> LOCATION MAP Included as Drawing 1 of Jane 2003 JTD 0 MND/NO <br /> MMrriGATION MONITORING IMPLEMENTATION SCHEDULE December 2002 D EXEMPTION <br /> 0 ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM May 27,2005 QFINANCIAL RESPONSIBILITY DOCUMENTATION February 2005 <br /> MCLOSUREIPOST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions)July 2005 <br /> ®PRELIMINARY In App.L of JTD ®FINAL <br /> dated 5/2002 <br /> C. IF APPLICABLE: <br /> ®REPORT OF WASTE DISCHARGE ❑DEPT.OF HEALTH SERVICES PERMIT <br /> ❑CONTRACT AGREEMENTS ®SWAT(Air and water) <br /> ®STORMWATER PERMIT APPLICATION ❑WETLANDS PERMITS <br /> EINPDES PERMIT APPLICATION OTHER <br /> ❑VERIFICATIOU OF FIRE DISTRICT COMPLIANCE <br /> s mwa <br /> Part 7.OWNER INFORMATION(For disposal site,9 operator Is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> OSOL.EPROPRIETORSHIP ❑PARTNERSHIP EICORPORATION 11GOVERNMENTAGENCY <br /> OWNER(S)OF LAND SSN OR TAX to# <br /> Forward Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE If.(209)982-4298 <br /> FAX M (209)982-1009 <br /> E-MAIL ADDRESS: <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> Page 3 <br />